Westchester Manor At Providence Place - High Point Nursing Home
General Information
UPDATEFederal Provider Number
345090
Provider Name
WESTCHESTER MANOR AT PROVIDENCE PLACE
Provider Address
1795 WESTCHESTER DRIVE
HIGH POINT, NC 27262
HIGH POINT, NC 27262
Provider Phone Number
3368842222
Provider SSA County
400
Provider County Name
Guilford
Ownership Type
Non profit - Corporation
Number of Certified Beds
129
Number of Residents in Certified Beds
125
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PPRC NURSING HOME INC
Date First Approved to Provide Medicare and Medicaid services
1973-05-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.39880
Reported LPN Staffing Hours per Resident per Day
0.93480
Reported RN Staffing Hours per Resident per Day
0.49240
Reported Licensed Staffing Hours per Resident per Day
1.42720
Reported Total Nurse Staffing Hours per Resident per Day
3.82600
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09160
Expected CNA Staffing Hours per Resident per Day
2.61763
Expected LPN Staffing Hours per Resident per Day
0.63794
Expected RN Staffing Hours per Resident per Day
1.06650
Expected Total Nurse Staffing Hours per Resident per Day
4.32207
Adjusted CNA Staffing Hours per Resident per Day
2.24858
Adjusted LPN Staffing Hours per Resident per Day
1.21623
Adjusted RN Staffing Hours per Resident per Day
0.34498
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56825
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
189
Cycle 2 Standard Health Survey Date
2013-05-17
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
95
Cycle 2 Total Health Score
95
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-05-16
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
98.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
2
Total Amount of Fines in Dollars
269815
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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